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Oklahoma rates for HCPCS V2104

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere 2.12 To 4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $38.74 / $40.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.24 / $45.24 / $45.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.82 / $38.90 / $59.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $24.62 / $52.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $20.94 / $32.35